| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,603 |
2,414 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,190 |
1,059 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
638 |
598 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
499 |
473 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,544 |
1,476 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
464 |
442 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
315 |
310 |
$31K |
| 97802 |
|
1,580 |
1,482 |
$22K |
| 90461 |
|
738 |
721 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,161 |
1,126 |
$11K |
| 99188 |
|
323 |
315 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
338 |
311 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
138 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
78 |
74 |
$2K |
| 83655 |
|
67 |
65 |
$485.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$422.19 |
| 96127 |
|
305 |
293 |
$227.27 |
| 85018 |
|
82 |
79 |
$145.84 |
| 99173 |
|
1,791 |
1,592 |
$109.31 |
| 90686 |
|
115 |
109 |
$18.00 |
| 90670 |
|
143 |
140 |
$8.02 |
| 90715 |
|
44 |
44 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
98 |
77 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90651 |
|
85 |
85 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
59 |
48 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
167 |
132 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90734 |
|
68 |
67 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
57 |
51 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |